Healthcare Provider Details

I. General information

NPI: 1508782558
Provider Name (Legal Business Name): SAIRA REBEKA VENTURA BENITEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 S 70TH ST STE 100
LINCOLN NE
68510-4293
US

IV. Provider business mailing address

7000 MERCY RD # NE68106
OMAHA NE
68106-2606
US

V. Phone/Fax

Practice location:
  • Phone: 402-483-4292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberH13978067
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: